Individual
DONNA E DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
10013 MCMULLEN RD, RIVERVIEW, FL 33569-5541
(813) 677-4551
Mailing address
PO BOX 22932, TAMPA, FL 33622-2932
(813) 760-0705
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS21306
FL
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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